AM Pharmacy
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AM Pharmacy
Transfer Your Prescriptions to AM Pharmacy
Switching is simple—share your current pharmacy details and the medications you'd like us to handle.
Current Pharmacy Information
Pharmacy Name *
Pharmacy Phone *
Pharmacy Fax
Address
Additional Notes
Prescription 1
Prescription Number (if known)
Medication Name
Patient First Name
Date of Birth
Add Another Prescription
Phone *
Email
I authorize AM Pharmacy to contact my current pharmacy and transfer the prescriptions listed above.
Submit Transfer Request